# CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1649950361
- **Legal business name:** CARBON HEALTH MEDICAL GROUP OF CALIFORNIA PC
- **Authorized official:** MARLEY PAGE (DIRECTOR)
- **Authorized official phone:** (417) 861-9739

## Contact information

- **Practice address:** 303 CORTE MADERA TOWN CTR \# 303, CORTE MADERA, CA 94925-1207
- **Practice address phone:** (415) 840-8615
- **Mailing address:** 2100 FRANKLIN ST STE 355, OAKLAND, CA 94612-3140
- **Mailing address phone:** (415) 446-1733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2023
- **Last updated:** 06/24/2025